Active NPI
Michelda West, FNP
- Family Nurse Practitioner
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APO7512
- Practice address
- 3715 Williams Blvd
Ste. 100
Kenner, LA 70065-3075 - Phone
- (504) 465-4550
- Fax
- (504) 465-8590
- NPI assigned
- Nov 14, 2013
- Last updated
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APO7512 | LA | Primary |
Addresses
Primary practice location
3715 Williams Blvd
Ste. 100
Kenner, LA 70065-3075
Mailing address
2104 Gause Blvd W
Ste. a
Slidell, LA 70460-4130
Phone (985) 643-4575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO7512 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Laboratories | Family | Current | Accepting new patients |
| E. M. Dimitri, D.O. PMC | Current | Accepting new patients | |
| Shapiro Dimitri Medical, LLC | Past | Accepting new patients |
Locations
3715 Williams Blvd
Ste 100
Kenner, LA 70065
Phone (504) 465-4550
5646 Read Blvd
Ste 230
New Orleans, LA 70127
Phone (504) 224-6588
2104 Gause Blvd W
Ste A
Slidell, LA 70460
Phone (985) 643-4512
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1487084216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 GAUSE BLVD W",
"address_2": "STE. A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704604130",
"telephone_number": "985-643-4575",
"fax_number": "985-643-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 WILLIAMS BLVD",
"address_2": "STE. 100",
"city": "KENNER",
"state": "LA",
"postal_code": "700653075",
"telephone_number": "504-465-4550",
"fax_number": "504-465-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "MICHELDA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "APO7512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.